Parental migration and smoking behavior of left-behind children: evidence from a survey in rural Anhui, China.
Parental migration and smoking behavior of left-behind children: evidence from a survey in rural Anhui, China.
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父母外出与留守儿童吸烟行为：来自中国安徽农村的调查证据
DOI：
10.1186/s12939-016-0416-7
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发表时间：
2016-08-05
影响因子：
4.8
通讯作者：
Rozelle S
中科院分区：
文献类型：
--
作者：
Yang T;Li C;Zhou C;Jiang S;Chu J;Medina A;Rozelle S
父母外出是影响儿童行为的最重要因素。很少有研究探讨中国父母外出务工与儿童吸烟行为之间的关系。本研究旨在估算当前儿童吸烟率，评估父母外出与儿童吸烟行为的关系，并找出与留守儿童（LBC）吸烟行为相关的因素。 2012年7月至8月，在安徽省6个城市进行了一项横断面研究。所有参与者都使用标准化问卷进行了面对面的访谈。该研究仅纳入上一年在农村居住至少 6 个月的 10 至 14 岁儿童。共有1343名符合抽样标准的儿童参与了这项研究。其中，56% 是 LBC，44% 与父母同住。平均吸烟率为 3.4%。统计上，父母双方都不在家的 LBC 的吸烟率（比率 = 6.1 %；OR = 5.59，P < 0.001）高于与父母双方同住的儿童（1.4 %）。同样，在控制其他变量时，仅父亲在家的儿童的 LBC 发生率（发生率 = 5.0%；OR = 5.60，P = 0.005）在统计上也高于与父母双方同住的儿童。影响 LBC 吸烟行为的因素包括性别（即男孩）、（感知的）学校表现和主要照顾者。父母移居与儿童吸烟行为显着增加有关。针对 LBC 的干预研究将有助于制定减少农村儿童吸烟的策略。似乎还需要针对性别的战略和反吸烟教育来减少农村 LBC 的烟草使用。
Parental migration is most an important factor affecting children’s behaviors. Few studies have addressed the association between parental migration and children’s smoking behavior in China. This study aims to estimate the current smoking prevalence among children, evaluate the association of parental migration and the smoking behavior of children and identify factors associated with smoking behavior among left-behind children (LBC). A cross-sectional study was conducted in 6 cities in Anhui province during July and August, 2012. All participants were interviewed face-to-face using a standardized questionnaire. Only children 10 to 14 years old that live in rural villages for at least 6 months during the previous year were included in the study. A total of 1343 children met the sampling criteria and participated in the study. Of these, 56 % are LBC and 44 % live with both parents. The average rate of smoking is 3.4 %. The rate of smoking is statistically higher for LBC with both parents out (rate = 6.1 %; OR = 5.59, P < 0.001) than for children living with both parents (1.4 %). Similarly, the rate of LBC with father home only (rate = 5.0 %; OR = 5.60, P = 0.005) is also statistically higher than for children living with both parents when controlling other variables. Factors affecting the smoking behavior of LBC, include gender (i.e., boys), (perceived) school performance and primary caregiver. Parental migration is associated with a significant increase in smoking behavior among children. Intervention studies that target LBC would help to develop strategies to reduce smoking among rural children. Gender-specific strategies and anti-smoking education also appears to be needed to reduce tobacco use among rural LBC.